ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Newborn requiring nasopharyngeal suctioning
Question 1 of 5
A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?
Correct Answer: C
Rationale: A pulse oximetry of 91% indicates hypoxemia, suggesting airway obstruction by secretions, necessitating nasopharyngeal suctioning to improve oxygenation.
Extract:
Four clients on antepartum unit
Question 2 of 5
A nurse on an antepartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: Epigastric pain and headache at 34 weeks may indicate preeclampsia, a serious condition requiring immediate assessment to prevent complications like seizures.
Extract:
Client with maternal hypotension post-epidural
Question 3 of 5
A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering a bolus of lactated Ringer's increases blood volume, correcting hypotension caused by epidural-induced vasodilation, improving maternal and fetal perfusion.
Extract:
Client with pelvic inflammatory disease, weight 132 lbs
Question 4 of 5
A nurse is preparing to administer gentamicin to a client with pelvic inflammatory disease. The prescribed dosage is 2 mg/kg IM. The client weighs 132 lbs. Available is gentamicin injection with a concentration of 40 mg/mL. How many mL of gentamicin should the nurse administer?
Correct Answer: B
Rationale: Converting 132 lbs to 60 kg (132 ÷ 2.2), the dose is 2 mg/kg × 60 kg = 120 mg. At 40 mg/mL, 120 mg ÷ 40 mg/mL = 3 mL, so the nurse administers 3 mL.
Extract:
Client at 39 weeks of gestation with fetus in left occipitoanterior position
Question 5 of 5
A nurse is assessing a client who is at 39 weeks of gestation and determines that the fetus is in a left occipitoanterior position. On which of the following sites should the nurse place the external fetal monitor to hear the point of maximum impulse of the fetal heart rate?
Correct Answer: C
Rationale: In the left occipitoanterior position, the fetal heart is best heard in the left lower quadrant, where the fetal back is located, maximizing the point of impulse.